Abdominal Actinomycosis Associated with a Sigmoid Colon Perforation in a Patient with a Ventriculoperitoneal Shunt.
10.3349/ymj.2006.47.4.583
- Author:
Eun Young JUNG
1
;
Su Nyoung CHOI
;
Dong Jun PARK
;
Jin Jong YOU
;
Hyun Jung KIM
;
Se Ho CHANG
Author Information
1. Department of Internal Medicine, Gyeongsang National University, College of Medicine, Jinju, Korea. shchang@gaechuk.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Actinomycosis;
hydronephrosis;
ventriculoperitoneal shunt
- MeSH:
Ventriculoperitoneal Shunt;
Ultrasonography;
Treatment Outcome;
Tomography, X-Ray Computed;
Intestinal Perforation/*diagnosis;
Inflammation;
Humans;
Female;
Colon, Sigmoid/*injuries/*pathology;
Adult;
Actinomycosis/*diagnosis;
Abdominal Pain
- From:Yonsei Medical Journal
2006;47(4):583-586
- CountryRepublic of Korea
- Language:English
-
Abstract:
Abdominal actinomycosis causing hydronephrosis in a patient with a ventriculoperitoneal shunt is very rare. A 27- year-old female patient was admitted complaining of lower abdominal pain. She had undergone ventriculoperitoneal shunt surgery 10 years ago. Abdominal Ultrasonography and a CT scan demonstrated an inflammatory mass in the lower left quadrant of the abdomen causing obstructive hydroureter and hydronephrosis. Laparotomy revealed a diffusely infiltrating mass involving the small bowel, mesentery, and sigmoid colon, and a 1cm perforation in the sigmoid colon. Actinomycosis was diagnosed upon histological examination. After treatment with antibiotics and surgery, the patient's condition improved.
